LACEY SULLIVAN M.D.
NPI 1962707745
Pathology - Anatomic Pathology & Clinical Pathology in Pascagoula, MS

Active since January 25, 2011PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
2809 DENNY AVE, PASCAGOULA, MS 39581(228) 818-6063(228) 809-2254 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2019, Jun 2, 2017 (2 updates tracked since 2017).

About Lacey Sullivan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY SULLIVAN M.D. (NPI 1962707745) is an individual anatomic pathology & clinical pathology provider in Pascagoula, Mississippi, licensed in Alabama (MD.35922) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and maintains a secondary practice location in Ocean Springs.

NPPES Registry Identity

NPI1962707745
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameLACEY SULLIVANCredential: M.D.
Location Address2809 DENNY AVEPascagoula, MS 39581
Mailing Address5052 W 4th St Ste 7Hattiesburg, MS 39402-1069 · (601) 261-2587 · Fax (601) 264-7426
Fax(228) 809-2254
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2010
Enumeration DateJanuary 25, 2011
Last NPPES UpdateJune 3, 20192 updates tracked since enumeration
NPI 1962707745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in AL · MD.35922
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2809 DENNY AVE, Pascagoula, MS 39581

Secondary Practice Location 1

Location 13109 Bienville BlvdOcean Springs, MS 39564-4361 · Phone (228) 818-4056

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lacey Sullivan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274802491
PECOS Enrollment IDI20170703000833, I20190507002605
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,223 services825 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
682 services276 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
155 services40 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
124 services63 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
108 services104 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
107 services96 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Singing River Health System

Acute Care Hospitals · Pascagoula, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250040
Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39581 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2809 DENNY AVE
PASCAGOULA, MS 39581
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Nurse Anesthetist, Certified Registered
2809 DENNY AVE
PASCAGOULA, MS 39581
Nurse Anesthetist, Certified Registered
2809 DENNY AVE
PASCAGOULA, MS 39581
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Emergency Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Sullivan's NPI number?

The NPI number for Lacey Sullivan is 1962707745. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Lacey Sullivan located?

Lacey Sullivan practices at 2809 Denny Ave, Pascagoula, MS 39581. The listed phone number is (228) 818-6063.

What is Lacey Sullivan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Lacey Sullivan enrolled in Medicare?

Yes. Lacey Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lacey Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health Plan, Inc. list Lacey Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lacey Sullivan affiliated with any hospitals?

According to CMS data, Lacey Sullivan is affiliated with Memorial Hospital At Gulfport, Singing River Health System and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Lacey Sullivan was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.